# CPT 67043: Vitrectomy Pars Plana Remove Subretinal Membrane

Medicare CPT 67043 pays $1,004.70 in a non-facility setting and $1,004.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $927.56 in Arkansas to $1,293.56 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/67043-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,004.70 |
| National facility | $1,004.70 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,293.56 | $1,293.56 |
| District of Columbia | $1,110.34 | $1,110.34 |
| New York | $1,093.11 | $1,093.11 |
| New Jersey | $1,087.12 | $1,087.12 |
| California | $1,076.57 | $1,076.57 |
| Washington | $1,068.15 | $1,068.15 |
| Massachusetts | $1,062.40 | $1,062.40 |
| Connecticut | $1,055.71 | $1,055.71 |
| Florida | $1,048.38 | $1,048.38 |
| Hawaii | $1,039.71 | $1,039.71 |
| Illinois | $1,034.19 | $1,034.19 |
| Maryland | $1,032.24 | $1,032.24 |
| Colorado | $1,026.86 | $1,026.86 |
| Rhode Island | $1,023.61 | $1,023.61 |
| Oregon | $1,017.89 | $1,017.89 |
| New Hampshire | $1,015.22 | $1,015.22 |
| Puerto Rico | $1,008.35 | $1,008.35 |
| Virgin Islands | $1,008.35 | $1,008.35 |
| Pennsylvania | $1,004.83 | $1,004.83 |
| Montana | $1,004.61 | $1,004.61 |
| Michigan | $998.96 | $998.96 |
| Texas | $998.54 | $998.54 |
| Delaware | $998.30 | $998.30 |
| Nevada | $997.62 | $997.62 |
| Georgia | $996.26 | $996.26 |
| Wyoming | $993.06 | $993.06 |
| Arizona | $986.07 | $986.07 |
| Virginia | $984.86 | $984.86 |
| Minnesota | $984.59 | $984.59 |
| New Mexico | $981.07 | $981.07 |
| Vermont | $978.66 | $978.66 |
| North Dakota | $978.11 | $978.11 |
| Utah | $976.55 | $976.55 |
| South Dakota | $974.98 | $974.98 |
| Louisiana | $972.60 | $972.60 |
| West Virginia | $972.49 | $972.49 |
| Missouri | $971.63 | $971.63 |
| Ohio | $970.85 | $970.85 |
| Maine | $970.49 | $970.49 |
| South Carolina | $968.11 | $968.11 |
| North Carolina | $962.20 | $962.20 |
| Kentucky | $957.26 | $957.26 |
| Wisconsin | $957.22 | $957.22 |
| Indiana | $953.00 | $953.00 |
| Oklahoma | $952.65 | $952.65 |
| Idaho | $949.66 | $949.66 |
| Tennessee | $948.20 | $948.20 |
| Nebraska | $946.59 | $946.59 |
| Kansas | $944.76 | $944.76 |
| Iowa | $944.29 | $944.29 |
| Mississippi | $938.37 | $938.37 |
| Alabama | $936.13 | $936.13 |
| Arkansas | $927.56 | $927.56 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 67043 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules